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CTRI Number  CTRI/2025/08/092252 [Registered on: 04/08/2025] Trial Registered Prospectively
Last Modified On: 23/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   A Study to Compare the effects of Dry Cupping and Tissue flossing on pain, joint flexibility, and muscle function in people with muscle soreness after exercise. 
Scientific Title of Study   Effectiveness Of Dry Cupping Vs Tissue Flossing On Pain, Joint Range Of Motion, And Muscle Activity In Recreational Athletes With Delayed Onset Of Muscle Soreness (DOMS): A Comparative Study.  
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Rahul Chakraborty 
Designation  MPT(Sports) student 
Affiliation  Banarsidas Chandiwala Institute of Physiotherapy (BCIP) 
Address  Sports Physiotherapy Department,Banarsidas Chandiwala Institute of Physiotherapy (BCIP) Chandiwala Estate,Metro station, Maa Anandmai Marg,Near Govindpuri,Shyam Nagar, Kalkaji, New Delhi, Delhi South 110019

South
DELHI
110019
India 
Phone  8595002772  
Fax    
Email  rahul.chakraborty9909@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr CS Ram 
Designation  Director 
Affiliation  Banarsidas Chandiwala Institute of Physiotherapy (BCIP) 
Address  Sports Physiotherapy Department,Banarsidas Chandiwala Institute of Physiotherapy (BCIP) Chandiwala Estate,Metro station, Maa Anandmai Marg,Near Govindpuri,Shyam Nagar, Kalkaji, New Delhi, Delhi South 110019

South
DELHI
110019
India 
Phone  9811297680  
Fax    
Email  director@bcip.ac.in  
 
Details of Contact Person
Public Query
 
Name  Dr Sapna Yadav PT 
Designation  Assistant Professor 
Affiliation  Banarsidas Chandiwala Institute of Physiotherapy (BCIP) 
Address  Sports Physiotherapy Department,Banarsidas Chandiwala Institute of Physiotherapy (BCIP) Chandiwala Estate,Metro station, Maa Anandmai Marg,Near Govindpuri,Shyam Nagar, Kalkaji, New Delhi, Delhi South 110019

South
DELHI
110019
India 
Phone  8368694445  
Fax    
Email  sapna@bcip.ac.in  
 
Source of Monetary or Material Support  
BANARSIDAS CHANDIWALA INSTITUTE OF PHYSIOTHERAPY 
 
Primary Sponsor  
Name  Rahul Chakraborty 
Address  Banarsidas Chandiwala Institute of Physiotherapy (BCIP) Chandiwala Estate, Maa Anandmai Marg, Kalkaji, New Delhi-110019  
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Rahul Chakraborty  Banarsidas Chandiwala Institute of Physiotherapy (BCIP)  Sports Physiotherapy Department,Banarsidas Chandiwala Institute of Physiotherapy (BCIP) Chandiwala Estate,Metro station, Maa Anandmai Marg,Near Govindpuri,Shyam Nagar, Kalkaji, New Delhi, Delhi South 110019
South
DELHI 
8595002772

rahul.chakraborty9909@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
The Institutional Ethical Committee of Banarsidas Chandiwala Institute of Physiotherapy(ICE-BCIP)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Recreational Athletes with Delayed Onset of Muscle Soreness(DOMS) 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Dry Cupping  Cupping Group: Participants will receive cupping therapy on the calf muscles, using a standardized protocol. o On a massage couch, participants will be placed in a prone position exposing their lower leg. o To provide a lubricant for the cups to slide along, an oil-based substance will be given to the entire lower legs surface. o the suction will be delivered using the hand pump to create a negative pressure in cups which are placed in 2x4 grid pattern in calf. Static and dynamic cupping technique application will be done. o Treatment duration:15 mins  
Comparator Agent  Tissue Flossing  Tissue Flossing Group: Participants will receive tissue flossing on the calf muscle, using a standardized protocol. o A latex tissue flossing band will be wrapped around calf in a 50% overlapping circumferential pattern (distal to proximal) as part of the intervention. The relative stretch of the band ranges from 50 to 90% of its maximum length. o Following the application of the band, the patient will engage in a therapy session lasting up to eight minutes, during which they may move the wrapped body part in various active and passive ways.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  25.00 Year(s)
Gender  Both 
Details  Recreational college athletes (male and female ages 18-25)
Participants who engage in recreational athletic activities.
Participants experiencing DOMS in the calf muscles.
Have no prior experience with cupping or tissue flossing,
Willing to participate in the study.
 
 
ExclusionCriteria 
Details  Cupping or Tissue Flossing Contraindications: Participants with contraindications to cupping or tissue flossing, such as:14,15
Skin infections or open wounds
Recent scars or tattoos
Active bleeding or bleeding disorder
Individuals with systemic disorders such as neurological, cardiovascular, respiratory or psychological conditions.
Previous Experience: Participants who have previously received cupping or tissue flossing treatments for the same condition.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Delayed Onset Muscle Soreness Measured using a visual analog scale (VAS).  Pre-Intervention outcome measures will be collected.
Post-Intervention Outcome measures will be collected after the intervention after 48 hours and 72 hours post-recreational sport activity.
 
 
Secondary Outcome  
Outcome  TimePoints 
Range of Motion Measured using a goniometer.
Muscle Activity Measured using electromyography (EMG).
 
Pre Intervention outcome measures will be collected.
Post-Intervention Outcome measures will be collected after the intervention after 48 hours & 72 hours post-recreational sport activity.
 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   12/08/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Cupping therapy and tissue flossing are increasingly used in sports rehabilitation for recovery and performance enhancement. Cupping, endorsed by athletes like Michael Phelps and Serena Williams, improves blood flow, reduces pain and fatigue, and promotes relaxation. It is low-cost, non-invasive, and beneficial for athletic recovery. Tissue flossing, a newer technique, involves wrapping elastic bands around joints or muscles to enhance blood flow, reduce tension, and improve range of motion. Both methods aim to support muscle recovery and overall athletic performance.

Delayed onset muscle soreness (DOMS) is a common experience among athletes and individuals engaging in intense physical activity, including those involved in recreational sports. It is characterized by muscle pain, stiffness, and reduced range of motion (ROM), typically developing 24–72 hours post-exercise. DOMS can negatively affect sports performance, daily functioning, and may decrease motivation and participation in physical activities. Cupping therapy and tissue flossing are increasingly used in sports rehabilitation for recovery and performance enhancement. Cupping, endorsed by athletes like Michael Phelps and Serena Williams, improves blood flow, reduces pain and fatigue, and promotes relaxation. It is low-cost, non-invasive, and beneficial for athletic recovery. Tissue flossing, a newer technique, involves wrapping elastic bands around joints or muscles to enhance blood flow, reduce tension, and improve range of motion. Both methods aim to support muscle recovery and overall athletic performance. Despite the growing popularity of these techniques, there is limited research comparing their effects on DOMS, pain, ROM, and muscle activity in recreational athletes. Electromyography (EMG) provides a valuable tool for assessing muscle activity and function, allowing for a more comprehensive understanding of the effects of these recovery techniques.

This study aims to determine and compare the effectiveness of dry cupping vs tissue flossing on Pain, Joint Range of Motion, and Muscle Activity of calf muscles in Recreational Athletes with Delayed Onset Muscle Soreness (DOMS).

Recreational athletes with DOMS will be included in study, will be divided in two groups 

Group A - will receive cupping therapy.

Group B - will receive tissue flossing.

·       Pre-Intervention:  outcome measures will be collected, using VAS, EMG for pain, range of motion and muscle activity in athletes with DOMS.

·       Post-Intervention: Outcome measures will be collected after the intervention after 48 hours and 72 hours post-recreational sport activity, using VAS, EMG for the same. Data will be analyzed and result will be interpreted.

 
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